Profee Complex Coder Surgical Cardiology

Profee Complex Coder Surgical Cardiology

Join to apply for the Profee Complex Coder Surgical Cardiology role at Banner Health
.

Estimated Pay Range: $25.54 - $38.30 / hour, based on location, education, & experience.

Department Name: Coding Ambulatory
Work Shift: Day
Job Category: Revenue Cycle

Location: REMOTE, Banner provides equipment
Schedule: Full time; flexible scheduling after training completed

Ideal Candidates:

• 3 years recent experience in Surgical Cardiology Profee EM coding (clearly reflected in your attached resume).
• Specialty Cardiology coding experience preferred.
• Must be currently certified through AAPC or Ahima, with a CPC or higher (CPC-A not sufficient).
• Remote position available only for the following states: AK, AR, AZ, CA, CO, FL, GA, IA, , IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally‑recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines.

Position Summary: This position evaluates medical records, providing clinical and surgical abstraction for full range of complex and/or multispecialty surgical, procedural and E&M professional services in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and/or revisions.

Core Functions:

• Analyze medical information from records, accurately code diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consult with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes. Provide thorough, timely and accurate coding in accordance to department specific productivity and quality standards. Codes ICD-CM and CPT4 for accurate APC assignment.
  
  Address National Correct Coding Initiative (NCCI) edits as appropriate. Reconcile charges as required.
• Abstract clinical diagnoses, procedure codes and document other pertinent information obtained from the medical record into the electronic medical records. Seek out missing information and create complete records, including disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
• Provide quality assurance for medical records. For all assigned records and/or areas assure compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG), Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
• As assigned, compile daily and monthly reports; tabulate data from medical records for research or analysis purposes.
• Identify validation edits and revision issues to ensure compliant coding.
• Recognize and distinguish complex diagnoses and procedures, and have attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
• Work independently under regular supervision. Use specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

Minimum Qualifications:

• High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to a two‑year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a related health care field.
• Certification:
  Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS‑P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) in active status with AHIMA or AAPC.
• Three or more years of complex professional coding experience within specialty.
• Demonstrated knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association.
• Ability to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.

Preferred Qualifications:

• Specialty Certification such as Radiology Certified Coder (RCC).
• Experience in a large, multi‑system physician practice.
• Additional related education and/or experience preferred.

EEO Statement: EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.